Provider Demographics
NPI:1336710714
Name:BUESCHER, ELEANOR (SLP)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:BUESCHER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 BLISARD RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-5017
Mailing Address - Country:US
Mailing Address - Phone:512-298-7123
Mailing Address - Fax:
Practice Address - Street 1:9433 BEE CAVES RD.
Practice Address - Street 2:BUILDING 3 SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78733-7873
Practice Address - Country:US
Practice Address - Phone:512-660-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118335235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist